Individual
DR. ANNIE VERGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23415 THREE NOTCH RD, SUITE 2052, CALIFORNIA, MD 20619-4017
(240) 237-8268
(240) 237-8446
Mailing address
41040 PAW PAW HOLLOW LN, LEONARDTOWN, MD 20650-2160
(301) 475-5704
(301) 475-9483
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0015709
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411781600
—
MD
Enumeration date
06/27/2006
Last updated
07/09/2015
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